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PUBLIC IORKS PERMIT ØDateApp1ied: 2/17/2017 <br /> City of Everett Permit Services Public Works Permit#: PW1702-031 <br /> 3200 Cedar Street,2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> -144- 241- (425) 257-8810 Public Works Fee: $466.38 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DAVID BROSSARD &RODNEY YORK DAVID BROSSARD&RODNEY YORK <br /> 2401 W MUKILTEO BLVD 2401 W MUKILTEO BLVD <br /> EVERETT,WA, 98203 EVERETT,WA, 98203 <br /> PHONE: 4257541973 PHONE: 4257541973 <br /> TAX PARCEL ID#: 00605800003700 SITE ADDRESS: 7702 RAINIER DRIVE <br /> DESCRIPTION: 2 LOT SHORT PLAT <br /> (2/17/2017 10:18 AM BES) <br /> SHORT PLAT 1202-2015-006 <br /> (5/11/2018 11:46 AM BES) <br /> Site development prior to Final Short Plat approval based on EMC Title 18 requirements. Includes paving, utilities, drainage <br /> mitigation, and frontage improvements required for land subdivision. <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett`Design and Construction Standards <br /> and Specifications for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE IAJMBE811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department-dated-05/08/E418 <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 priorttstarting construction and with <br /> other inspection requests. See attached to request an inspection. =,k :..,- <br /> 6. Connect side sewer per City Standard#601. e:,:_ <br /> 7. No dirt, mud, rocks, or debris to be tracked onto roadway.. <br /> 8. Install erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales;'sw ':,1 ;}or <br /> erosion blankets. <br /> 9. Remove erosion control measures upon completion of the project prior to final approval(*the permit. 8 <br /> 10. Must comply with Short Subdivision conditions(SS15-008). 17. <br /> ;; <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control Plans Short Subdb(2Lot) $60.00 "'' ` '` ' T' "" <br /> Grade/Fill/Excavate (EST 110 CYDS) $70.00 _ R2 <br /> Asphalt driveway paving(3,280 S>F.) $45.00 <br /> PW Plan Review $97.13 <br /> PW Site Inspection $194.25 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> — ifreo,7 �J /l� expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> or Construction 'is Works) Da e for and further agrees to remove same upon notice from the City and to <br /> replace p roperty damage thereby. <br /> FINAL INSPECTION Date yie <br /> Approved as Constructed (PW Inspector) Signature App ica Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND HEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION,THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />